Abstract

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One of the suggested methods for the treatment of Hirschprung disease is of Evaluation of one-stage Tran's anal Endo rectal pull-through (TERPT).The purpose of this study is to evaluate the status of deification and complications of surgery in patients undergoing pull-through surgery in THERAN pediatrics Medical center during past 10 years.

Materials & methods:

This descriptive study was performed on patients undergoing one-stage Transanal Endo rectal pull-through operation in Tehran pediatrics Medical center over past 10 years.

Exclusion Criteria include the parent's lack of consent to participate in the study, age below 3 years, and inability to complete the checklist. For all patients, a check list including: Age/ family history of disease/ readmission/ age / Follow-up time/ presence of soiling/ complete & partial fecal incontinence/ constipation/ laxative use/ use of Boogie/ the presence & absence of RAIR in manometers, TR stricture and enterocolitis before & after surgery, Was gathered. Data analysis was performed using spss 19.

Results:

4.81% of the subjects were male. 3.9% of them had underlying disease, such as heart & kidney disease. And only 6.81% of them had to be re-admitted because of enterocolitis. 5.39% of patients had soiling, and complete & partial fecal incontinence were 3.2% and 7.4% .respectively total incidence of fecal incontinency was 7%. 6.11% of cases had constipation. 3/9% of cases did not have RAIR in manometery.the incidence of rectal stenosis was 7%. 93%of patients had TZ in barium enema befor the operation. The result showed that there was no significant relationship between post- operative complications in both sexes. (o5<Op)

DISCUSSION & Conclusion:

This study shows that the complications of Endo rectal Trans anal pull-through surgery as a method for treatment of Hirschsprung disease are infrequent, therefore this method can be considered as a selective method. Further investigations are recommended to prove the hypothesis.